KERI ANN STEPHENSON (NPI# 1285837245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285837245 |
| Entity Type | Individual |
| Full Name | KERI ANN STEPHENSON |
| Credential | RD, LD, CDE |
| Practice Address |
2016 S Main St Maryville MO 64468-2655 |
| Practice Telephone | 6605627937 |
| Mailing Telephone | 6605627937 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2007007512 | MO | Dietary & Nutritional Service Providers |
| Street Address |
2016 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970761 | Lorraine M Dodson | Specialist | 2016 S Main St, Maryville, MO 64468-2655 | 2005-05-23 |
| 1275183055 | Alison Sporleder | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-09-13 |
| 1982251856 | Paula Goodridge | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-08-24 |
| 1184189797 | Mosaic Medical Center - Maryville | Internal Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-02-07 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1265906663 | Mosaic Medical Center - Maryville | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1821562265 | Mosaic Medical Center - Maryville | Clinic/Center | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1194241349 | Angela Nicole Williamson | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-08-18 |
| 1225577372 | Estella Myrick | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528687597 | Courtney Paige Howell-johnson | Dietitian, Registered | 3217 Willow Branch Cir, Maryville, TN 37803-2997 | 2020-04-10 |
| 1003209024 | Kelly Houston | Dietitian, Registered | 2023 Vadalabene Dr Ste 200, Maryville, IL 62062-5636 | 2015-03-16 |
| 1144480542 | Jennifer B Terry | Dietitian, Registered | 1878 Southcliff Dr, Maryville, TN 37803-7520 | 2008-06-10 |
| 1275728891 | Gayle S Loyd | Dietitian, Registered | 6800 State Rt 162, Anderson Hospital, Maryville, IL 62062-8500 | 2007-09-06 |
| 1265809396 | Linda R. Colvin | Dietitian, Registered | 131 Montgomery Ln, Maryville, TN 37803-5649 | 2015-08-24 |
| 1881079978 | Angela Hope Tillman | Dietitian, Registered | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2015-07-30 |
| 1760871370 | Heather Lochmann | Dietitian, Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2015-01-20 |
| 1326469768 | Deanna Bowers | Dietitian, Registered | 1217 S Main St, Maryville, MO 64468-2603 | 2014-01-03 |
| 1003067422 | Amanda Marie Reilson | Dietitian, Registered | 6800 State Route 162, Maryville, IL 62062-8500 | 2008-10-03 |
| 1881759710 | Leslie L Hawk | Dietitian, Registered | 2016 S Main St, St. Francis Hospital, Maryville, MO 64468-2655 | 2006-12-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.